Individual provider · Type 1 NPI
Bonita Joan Clark, APRN
Family Nurse Practitioner · St. Petersburg, FL
NPI number
1639686363
Active
Practice location
1839 Central Ave
St. Petersburg, FL 33713-8900
Fax (727) 821-7213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11000995 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639686363
Bonita Joan Clark, APRN's National Provider Identifier is 1639686363, issued on Jan 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Petersburg, FL. The record was last updated on May 20, 2022.